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CITY OF FEDERAL WAY i aa �I " uu , g p ��'� d� I� .�'��p PERMIT NO: BLD95-0598
33530 First Way South E.0 N" A '�I; .,IL1 lc:. �i II.,,„ E.IR II I WI ISSUED: 08/03/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 01/30/96
ADDRESS: 1708 SW 323RD ST
NO. : 010454-0240
PROJECT DESCRIPTION:HVAC - INSTALL ONE GAS WATER HEATER.
F= OWNER - CONTRACTOR T LENDER =
JERRY OLIVER NORTHWEST WATER HEATER
1708 SW 323RD ST 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499
661-0339 984-6404
NORTHWH103R2
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 NHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.25 ***
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS I FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 6.50
GAS HNT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 26.50
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date -- By
PERMITS EXPIRE 180 DAYS AFTER ISSUANC NO WORK IS ,' : DENT .L AND .RADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUAN�
I CERTIFY THE INFORMATION FURNISHE1 ; ME IS TRU '1" 0 THE BE IF K BCE AND THE APPLIC TY-8F FE NA REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE C
FILE COPY
•
• v
ElvED City of Federal Way t
CITY OF Rep_ 33530 First Way South
0_ ria--Eirytn,05G Federal Way, WA 98003 �j 9,�Y A (206)661-4000
Wi ��� (1/4:55q5
/J (�/
Y
��48 •
`i�°ION FOR MECHANICAL PERMIT
BUoGo1
PARCEL #•< C.` �� (� -�-1 C) Single FamilyMulti Faml e'
Commercial 0
SITE LOCATION: ^, /
Tenant/Owner: l%J$( \/ ('11.I t t- Phone: to 61 I -(-)
Address/City/State/zip: O J
(A i )— cj-r 10 h.i& `./ C �/ -1 --�
p��, t 1 0 �-7
Nature of work: �i-� 1414 et. I -&t;:4'1 C/J Y (- I51-(/I1(z ) Project Valuation: $
•
APPLICANT:
Name: ;: 71a1 OL ( k(Z- •
-
Address/City/St/Zip: 1 -{ 0(8 S 1,6 -7--)DSZ) F-&--- 1 • i,J/} q cl S6 T.3
Contact Person: 63-'6L) F1-- AIAOL -►J Phone:
Fax: 3. .-cl—y��--�--
2 ZL9'C Eta. ,t l s--
MECHANICAL CONTRA T R:
itURTHWEST WATER HEATER, INC.
Company Name: >?3oc Ti .,a;; .;,, e. LVE. WEST .
SEAV
Address/City/St/Zip: , WA 9 199
Contact Person: -' .C �r t7 2AL L.L1 Phone: •1--xcc,--- 1(tcrl\--- Fax: '�-)- f
State L & I Contractor Registration #: /y�%�T1/Il�/6 ae-) _ 1(T /C/6 r
(Card must be presented) Exp. Date:
•
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling > = 10,000cfm
Above Ground
Furn <100K BTU's Gas Log Unit Heater
Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt I Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves A/C . :..... ,;:;..>:>;::.:;. :::
TONS Tntal.ttnIt?Ci ti t::*: :::'>»::,::> :>:»:_:a::>
DISCLAIMER: I certify under penalty of perjury that the informatjfurnished by me is true and correct to the best of my knowledge and further that I am authorized by the owner of the above
premises to perform the work for which permit applicati•• ' made. I further agree to save harmless the City of Feder ay as to any claim(including
incurred in investigation and defense of such claim hich maybe made byanyg Federay costs,but only and such
clam fees
person,includingthe undersigned filed against the City of Way only where such claim arises
out of the reliance of the City,including its off ers and employees,upon the ac ormation suppl. to the City as a part of this application. �
Owner/Agent: Date:
i